Medicaid & CHIP: Enrollment, Benefits, Expenditures, & Other Characteristics of State Premium Assistance Programs

January 19, 2010

Enacted in February 2009, the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), which reauthorized CHIP and made changes to Medicaid, provided states with additional options for operating premium assistance programs. As of November 2009, states had not implemented premium assistance programs under the new authorities provided by CHIPRA, but, as allowed by CHIPRA, states were continuing to operate their programs under preexisting authorities. This review by the Government Accountability Office establishes a baseline for how states are implementing Medicaid premium assistance programs that enable the use of Medicaid funds to pay group health insurance premiums.

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